INTERSTATE RETAIL INC (NPI# 1780768812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780768812 |
| Entity Type | Organization |
| Organization Name | INTERSTATE RETAIL INC |
| Other Organization Name | SERVICE DRUG PHARMACY |
| Practice Address |
317 Main St Williston ND 58801-5303 |
| Practice Telephone | 7015726721 |
| Practice Fax Number | 7015726723 |
| Mailing Telephone | 7015726721 |
| Mailing Fax Number | 7015726723 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-04-20 |
| Authorized Official Name | BRIAN BOLINSKE (OWNER) |
| Authorized Official Telephone | 7015726721 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
61 | ND | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3501928 | 01 | |
| ND | 020175 | 05 |
| Other Name | Type Code |
|---|---|
| SERVICE DRUG PHARMACY | Doing Business As Name - Organization |
| Street Address |
317 MAIN ST |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508299272 | G&g Rx Inc | Pharmacy | 317 Main St, Williston, ND 58801-5303 | 2013-08-16 |
| 1053606160 | Gabriel Gratz | Pharmacist | 317 Main St, Williston, ND 58801-5303 | 2011-06-16 |
| 1083920508 | Steven Sell | Pharmacist | 317 Main St, Williston, ND 58801-5303 | 2010-08-21 |
| 1245323278 | Gerald Alfred Gratz | Pharmacist | 317 Main St, Williston, ND 58801-5303 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| Find all providers in zip 58801 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063839496 | G & G Rx Inc | Pharmacy | 1500 14th Street West, Suite 150, Williston, ND 58801-5303 | 2014-03-24 |
| 1861677726 | Walgreen Co. | Pharmacy | 8 Nw Main St, Williston, FL 32696-2043 | 2008-01-09 |
| 1588768444 | Holiday Cvs LLC | Pharmacy | 435 E Noble Ave, Williston, FL 32696-2239 | 2006-09-12 |
| 1982626099 | Med, Inc | Pharmacy | 1508 2nd Ave W, Williston, ND 58801-0000 | 2006-07-25 |
| 1861901886 | Amy E Zorn | Pharmacy | 12935 Main St, Williston, SC 29853-2321 | 2017-09-21 |
| 1629449624 | Morgan's Drugs | Pharmacy | 12935 Main St, Williston, SC 29853-2321 | 2015-10-16 |
| 1508286071 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 600 Blair Park Rd, Suite 195, Williston, VT 05495-7586 | 2014-04-23 |
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|---|---|---|---|---|
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1912416876 | Lifescript Pharmacy Pllc | Pharmacy | 5670 38th Ave S Unit A, Fargo, ND 58104-9051 | 2017-09-23 |
| 1205231990 | N D Pharmacy Inc | Pharmacy | 1283 Roughrider Blvd, Dickinson, ND 58601-6780 | 2014-10-24 |
| 1962706036 | Inhealth Specialty Pharmacy, Inc. | Pharmacy | 2345 25th St S Ste C, Fargo, ND 58103-6173 | 2011-01-05 |
| 1982826756 | Integrated Health Marketing LLC | Pharmacy | 5675 26th Ave S Ste 136a, Fargo, ND 58104-8975 | 2007-05-02 |
| 1689725434 | Tioga Drug Inc | Pharmacy | 106 N. Main St., Tioga, ND 58852 | 2007-01-16 |
| 1891855326 | Sanger Inc | Pharmacy | 4101 13th Ave S, Fargo, ND 58103-3342 | 2006-12-12 |
| 1457419962 | Johnson Drug Co | Pharmacy | 2522 N Broadway, Fargo, ND 58102 | 2006-12-05 |
| 1306931977 | B & E Pharmacy Services Inc | Pharmacy | 2015 Library Circle, Grand Forks, ND 58201 | 2006-10-03 |
| 1881705499 | J Co Drug Inc | Pharmacy | 120 North Main, Crosby, ND 58730 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.